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Home My WebLink About74781D - Bryant�CAMA /a,- DREDGE & FILL NO. 74781 A B C Cps C`EN L PERMIT Previous permit # New odi cat' n ❑CompleteZonis isa ❑P ial Reissue Date previous permit issued `� l� Zr25 2nAs auth rued by the State oF�totfh �a�ii(, DparEnvkon ental uality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC d • /� �B" ❑Rules attached. Applicant Name � /QNA ? L„Q�1� 4Jr y��f Project Location: CountyA5, ., i r- k-- Address /',4_S 0 City NGk( r &. Statehi_ ZIP- Phone # 60) E-Mail k. " Authorized Agent —�' } , Affected ❑ CW AEW PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH '❑ UBA ❑ N/A ❑ PWS: ORW: yes / fo-2 PNA yes Street Address/ State Road/ Lot #(s) n e � Subdivision i W ZIP 29��,T Phone # ( ) River Basin Adj. Wtr. Body Q_L1�✓ i-A.✓t''c. I (nat n nk) Closest Maj. Wtr. Body A k u W �/ ' ♦- r or IMEMOMMEME M. M. :.. ■■■H■■■■■ :■■®■■■■Si■iH■■■■■■■■■■■■ ■■■■■■■■■■ ■ ■■ME ME B■■■■■■M■■■■■■■■ ■■■■■■■■i■mmmm■■■■ ■ ■ti■■■■■■■■■■■■■ ■■■■■■■■■ .. ■■■■■■■■■■ ■■■ ■■■ ■■■■■■■■■■■■ , ■EfIm MEN E r7i■%d.:, ■■MMUM■■E7E1■■■■■W■■■MIN ■■■ I'^.1'1'!l�Tt!�■� JI■■■■■h[�■AI!!1■CG�!��i■1■■ . �i7li:' � =::I!� IMMIAMMIN Win Ems■■ MEMNON ■■■■�■■■®■■■■�I�■■\ i■i c -r T4 Agent or Applicant Printed Name SignatuJ"Fee(s) ** Please read compliance statement on back of permit 2,66 00 A i � Applica Check # ' r CAMA / DREDGE & FILL �(� / / A B C �J ENERAL PERMIT Previous permit #_--- ,New New Modification Complete Reissue Partial Reissue Date previous permit issued As autilized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC.Rules attached. I •t 11s� Ol.iv Project Location: CountyTO,4 Applicant Name {� l�.y� � �n•1k- Y � � I •t��0 ! C �" Street Address/ State Road/ Lot #(s) Address QJ i� 1tict-K � City[.ki r_ti State �� ZIP _ of%�-W I St. Phone # !� i)!0) �('�� (sgS�q� Mail L�r�4n ��.rt(.,tc t Subdivision City (,-)C (Sae KC,Jt�ZIP Y Authorized Agent CW �EW PTA ES PTS Phone # ( ) River Basin Affected OEA HHF ,Y III UBA N/A AEC(s): Adj. Wtr. Body (nat , y,�l nkn) PWS Closest Maj. Wu•. Body ORW: yes / no , PNA yes rr� Type of Project/ Activity C l - C.t c . 11( (Scakn ie�rr (�dodck) length Fixed ttfonn(s) q%Y81 Floating Platform(s)It I /+\� "C (W CskN A l Finger pier(s) j Groin length number Bulkhead/ Rrprap length ! avg distance offshore 1 , max distance offshore Q ,Lt Basin. channel V cubic yards y S r E'• V Boat ramp rl? t vJ Boathouse! RI:agip 1 li 17 Beach Bulldozing Other Pj4 P l shorefir, Length S" not sure yes & C� "fin<<z�VA-K m Moratonu: tda yes C••sVt Photos: yes (Cr'� \V ' � \ CuJ(06cJ Waiver Attached: & no S) J (�, A butldng permit may l5� required by: '/r 1-u-.� c. ()C-C-- �� `� AJ i See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) � Notc-s/ Special Conditions V��tk:.• . �rLc 1� 1� Att� P1CClt.d air I _I�C`t�A��`'`A-- Q ,1D Ci g r Q n` - r, Agent cw licant Pr/nt Nan "' d om lia c statement on ba of rmit " Srpnaturc Plcascrca c � F� Qf .��h�� Aplil•cat Feels) Check # �in N l 11 ssuin Dat Expilation Date �I \ .7 CA AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit ' � ? . Mailing Address: Phone Number: Email Address: Lyo? v�) a_ T (-f I certify that I have authorized fy\ 17 , Agent / C ntractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: N (' r U. r 'e' _ cy at my property located at r ' in �� r_ ;,,' : ! County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signatu e Print or Type Name a 1 Title ! t Date This certification is valid through 1 RECEIVED OCT 3 0 2019 DCM WILMINGTON, NC ON 'NOl'JNIW'lIrn ` 10 6102 0 9 Q3AI3D3ki AD4ACENT RIPARIAN PROPERTY OWNER STATEMENT 11 I hereby certify that I own property adjacent to ✓ �;� h "irt. f 14 � i" `1,7 } �T - s It (Name of operty Own r) (- property located at ".1 l r �, . `�' � - (Address, Lot, Block, Road, etq,.) v on �,'�,rv,;,, `'; , �n C '= �! �,•� .: ` , -i:. . N.G. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. EM I have no objection to this proposal. I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description bellow or attach a site drawing) it ' 7� ^,t� ��•�_,.,"> iX.VL�_If�wJ. 1 1 4, ' I �1 �� _ /") /'� ,� •S _ -j-�} j'r^T�<7,_I U.J/"r�lJ•v\ ��l��d.{�1 � ;`' GEJv E0 cM W ` AWAGTONI NG ° Nov o 6 2019 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse. lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Print oSr,Type N/yarni r f Marling Address ,- Crtv/StatelZip �l`' 'o Telephone Number j) -_'. 1 burr 11/062019 11:53 AM GMT .11 11(1110T Ed Yarboro Print or Type Name 2140 McBrayer Springs Road Addess Shelby. NC. 28150 _ Cfty/state"Zip 704-472-1780 11-5-19 /),u. (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (Nam(. of Property Owner)�- property located at p (Address, Lot. Block, Road, etc;) _ N C (Waterbody) (City/Town and/or County) The applicant has described to me, as snown below the deveopment proposed at the above location 1 have no objection to this proposal I have ob.iections to tnis propcsa! DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock. mooring pilings, breakwater, boatnoL:selift. or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me kif you wisr to waive the setback, ou must initial the approprate blank below --.JC 1 do wish to waive the 15' setback requirement 1 do not wish to waive the 15' setback requirement (Property Owner Information) (AyijzCt?t)tt Pro y ner Information) Pivit or, Type Nanr IZ Maibng Address r Cr��S'ate/Zip , Tefevlione Numbe, i inc• tit :4+ ri,ni add gcc �J J Tele;itr iTe 5Tr"`Lll i I�7CAu I certify that, This survey creates a subdivision of land within the area of a county or municipality that regulates parcels of land. This survey is located In such a portion of a -- County or oniCl panty that Is unregulated as to an ordinance Ghat regulates parcels of land. -� Thia survey is of an existt nq parcel or parcels of land. _ This survey is of another category . such as the [ecowbinatlon of existing parcels, a court - otder-ed survey, er other a:ception to the dertn- itinn o[ subd tvislon. _ In[ormatlon available to the surveyor is su,rn that the surveyor fs ana. o make a deter- minatlnn as to the provt atomstshove. 1, James D. Fort, Jr., cet ti[y thnt thin plat ras drawn flow an actual survey under wy anpervfalon according to deeds and plats noted herennr that bouttdar lea not surveyed are shown a9 broken linese that the relelf ve pr ecleton /s0�0�01 prat this p Ut Q. the wf of wuw etanAards o[ practice For surveyors In North Carolina. Witne$a fir! hand and seal this -_ day of 1�— . 19 73— pegjeteted Land sur—y— lop of-- -Jw➢BA North Carnl Ina. _%204zStk K— __- Cnnnty Cpup?L-B (t w~ 04U -- --- 1, a Notary Public o[ the Cnnnty and Rtata afore- sais, eertl [y Ghat ,lawes D. yort, Jr., a aegls- tereA Land Surveyor, personally appeared before m. tills day and aeknovl edged the execution or the [oragotng loaf ruwent. Witness wy hand and official stamp or seal, this _ day of_ 19_ ------IlntarY Pubijr -— Ny Comwlslon Lxpire� W T 2-4 176 37! f f ,. t"Q, t N a L d� 1�� ►P 535'- '� 5y•li �� 50.04� — .r--- tJ -26- 514 _DcF=- ifyq: htalL IN �DbE of A59WA(.'1 9 iR=E'r �(o : WAS-rtiZ ;Z- Ivf�sor . Vr--et) &e- 5fe tom. 010 Z c,a1L5 Fv2 coT z5, 13f-+& l3A / AW 8k 11 6r ,. MN A 1. CALlEVE1 4w or- II P6 y5 )i oeE NOT CoNT 47? 25 w-L Pitt-- —tw,G--,v"EY 15 PP 'VT i 12165 '. (V11111 L Date Received Date Deposhed I Check From Name/ Name of P—it Hold- Vendor Check Number Cheat amarnt P—It Number/Commenfa Receipt or Refund/Re 11-1ed Col—i Cok-2 CokwnfQ Cok-4 Cokerm6 Cdomn6 Cahmm7 Cok-0 Co1umn9 12mrA79 Sk-t Fwenrl tanw FM Bank 9124 8811 700.00 OP 074782D PA mt 882D _ ES mt 7950 lzwm9 CanaW-d. kie. Lm Somm lkA d Bank f 200.00 OP 0741810 1714=9 NMd klafko C-tw— LLC Raul] -d Lkafa &own FM Ci&— B.* 7981 200.O0 OP 9748ND .D fat 8848 12MM19 CLIn kc. Dnl Fins CNL— Bank 1018 20D.W OP 071052D Tmeo fat 80R1 I 1 ACam ADJACENT RIPARIAN PROPERTY OWNER STATEMA NT A . I hereby certify that I owr property ad±ac eri' to s +�- {Name of w r) property `ocated (Address, Lot. Block, Road. et N C (Waterbody) (City(Town andlor County) TI-e aogticant has described to me. as srowr below the devetoornent proposer at tine above =.ccation I have no objection to this proposal. I have objections to this pr000sa DESCRIPTION AND/OR DRAWING Of PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) a11'1T7 �.t"C-s'_ ?CQ.7 lP4G�l`�1 UQ CX amdA) r r, r WAIVER SECTION i understand that a pier, dock, mooring p mgs. creakwater, boathouse, ift or groin must be set back a minimum distance of t 5' from my area of riparian access unless waived by me ;If you wish to waive the setback, you must initial the appropr.ate blank below I do wish to waive the ? 5' setback -equirement- I do not wish to waive the , 5` setback reguiremen*. (Property Owner Information) R1,�Ffciffil';' r.: r-, r Pr;nt or Tyce `yarn ?. r "i t.. =A" Mailing Address L.i.�i hit. t �•� 1. � t, `+ t _`. v,, CitX/Statet�ig eie hone Numbew (Adjac r Information) Pnr.! Of ^- `' 7 8>6 Telet>hrrnp �J�embe� x, --- - Jell. Revised 6/1 &2C? 12i .�Z4�4-V / F, 1p aj!i , #= lN3W J Ll 71 I ' f(� frLi';:. ,tile�L�F1 Sr3j ii. iif #srii jjawdOJO=" 1p IR, JSOC ;ri le 1 jT1777777 i ~